Dr Thomas G Peterson, OD | |
150a County Road B, Shawano, WI 54166 | |
(715) 526-3163 | |
(715) 526-4019 |
Full Name | Dr Thomas G Peterson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 35 Years |
Location | 150a County Road B, Shawano, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114043387 | NPI | - | NPPES |
410033786 | Other | WI | RAILROAD MEDICARE |
38578000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2324 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thomas G Peterson Od Sc | 4880725308 | 4 |
Provider Name | Thomas G Peterson Od Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033197397 PECOS PAC ID: 4880725308 Enrollment ID: O20100628000717 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas G Peterson, OD 150a County Road B, Shawano, WI 54166-7072 Ph: (715) 526-3163 | Dr Thomas G Peterson, OD 150a County Road B, Shawano, WI 54166 Ph: (715) 526-3163 |
Mr. William James Stern, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 153 Woodlawn Dr, Shawano, WI 54166 Phone: 715-524-2553 Fax: 715-524-6383 | |
1 Vision S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 150a County Rd B, Shawano, WI 54166 Phone: 715-526-3163 Fax: 715-526-4019 | |
Dr. Nicole Jeannine Klotzbuecher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 150 County Road B, Shawano, WI 54166 Phone: 715-526-3163 | |
Mr. Kavit Lache Beyersdorf, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 150a County Rd B, Shawano, WI 54166 Phone: 715-526-3163 Fax: 715-526-4019 | |
Vision Source Shawano Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 W Green Bay St, Shawano, WI 54166 Phone: 715-524-4997 Fax: 715-524-4905 | |
Janson A Mancheski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1244 E Green Bay St, Janson Mancheski Od, Shawano, WI 54166 Phone: 715-526-2376 Fax: 715-526-9561 |